MS. JUNE LATISHA-ANN OTTLEY


Address: 3601 Odonnell St, Baltimore, MD 21224-5238
Phone: 4433249312

MS. JUNE LATISHA-ANN OTTLEY (NPI# 1083956437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083956437
Entity Type Individual
Full Name MS. JUNE LATISHA-ANN OTTLEY
Other Name MS. JUNE LATISHA-ANN GILPIN
Credential CRNP
Practice Address 3601 Odonnell St
Baltimore
MD 21224-5238
Mailing Address 8044 Ians Aly
Laurel
MD 20724-6133
Practice Telephone 4433249312
Practice Fax Number 4105378927
Mailing Telephone 2404311525
Enumeration Date 2013-03-25
Last Update Date 2013-03-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner RN1022763 DC Physician Assistants & Advanced Practice Nursing Providers
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
R155920 MD Physician Assistants & Advanced Practice Nursing Providers
N 363LG0600X Nurse Practitioner
Specialization: Gerontology
R155920 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3601 ODONNELL ST
City BALTIMORE
State MD
Zip Code 21224-5238

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962491027 Kathleen Chesley Diamond Nurse Practitioner 3601 Odonnell St, Baltimore, MD 21224-5238 2005-10-20
1386057321 Erin Stauffer Nurse Practitioner 3601 Odonnell St, Baltimore, MD 21224-5238 2014-06-07
1508291824 Lindsey Brown Nurse Practitioner 3601 Odonnell St, Baltimore, MD 21224-5238 2013-09-05
1477806792 Tameka Kim Smith Nurse Practitioner 3601 Odonnell St, Baltimore, MD 21224-5238 2012-10-24
1447556493 Karen Ann Zarrelli Nurse Practitioner 3601 Odonnell St, Baltimore, MD 21224-5238 2011-02-08
1023312485 Sherri L Mongeon Nurse Practitioner 3601 Odonnell St, Baltimore, MD 21224-5238 2010-12-28
1790085744 Kristen M Seabrease Nurse Practitioner 3601 Odonnell St, Baltimore, MD 21224-5238 2010-10-25
1376776237 Tawanna Marie Deangelis Nurse Practitioner 3601 Odonnell St, Baltimore, MD 21224-5238 2009-08-26
1447491436 Linda Michelle Johnson Pharmacist 3601 Odonnell St, Baltimore, MD 21224-5238 2009-03-20
1558545525 Annette Eleana Snyder Nurse Practitioner 3601 Odonnell St, Baltimore, MD 21224-5238 2007-12-26
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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Competitor

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City BALTIMORE
Zip Code 21224

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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